Individual
MRS. SARA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 ROSE LAKE DR, CHARLOTTE, NC 28217-2846
(704) 778-7192
Mailing address
6635 CORAL ROSE RD, CHARLOTTE, NC 28277-3852
(847) 767-6566
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
000422615
NC
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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